My pics. New to the group. Thanks for input!

[pokeweed]

Breasts started in Jr. High. A very difficult time to say the least. I had liposuction of the chest and nipples 5 years ago but I'm sure this is more than fat. Exercise daily. 5'11'' and just at 200. 36 waist. In good shape otherwise. Can't stand the movement when running and basically the feeling of weight in my chest area. I've set appointments with several doctors to finally have something done. Do you think I'm on the right track? Thanks for your input guys.

http://s1133.photobucket.com/albums/m588/baltoboy2/?action=view&current=front.jpg

http://s1133.photobucket.com/albums/m588/baltoboy2/?action=view&current=both.jpg

http://s1133.photobucket.com/albums/m588/baltoboy2/?action=view&current=side2.jpg

[thetodd]

From the pics it looks like a moderate case of gyne, im not to hot on BMI's/Weight etc but id class 36" waist as overweight so maybe start some dieting in preparation

You need excision id say, who was the doc that performed the lipo? Id recommend only going with a certified surgeon on here if possible.

[pokeweed]

The Lipo was performed by a Dr. who runs a Liposuction Institute in our area. Well advised and well thought of. The doctor I've met with three board certified Plastic Surgeons this month and I've decided on one. He has his own surgical center and was selected as top in our area by a major monthly publication in their "BEST OF" issue. I'd like to drop my weight to 190 before.  Are one of the doctors who weighs in on this?  Thanks for sharing your input. Appreciate it~!

[Dr. Elliot Jacobs]

Surprised at how much you still have on your chest after prior lipo surgery.

Definitely feel that secondary surgery would be worthwhile -- lipo and probably excision as well.

Best of luck!

Dr Jacobs

[George Pope, M.D.]

It would be great to drop your weight to 190, but you're still going to have gyne and need the surgery.  Sounds like you have found a good plastic surgeon.  Just be sure he has experience in gyne surgery.  I get the same "Best of" accolades from a local magazine, which is great, but there are a lot of great plastic surgeons who don't do much gyne surgery. Just be sure your guy does.

Dr. Jacobs is right - you seem to have a lot of chest tissue for someone who's undergone lipo in the past.  You really need tissue excision.

Good luck-

Dr. Pope, MD

[DrBermant]

Breasts started in Jr. High. A very difficult time to say the least. I had liposuction of the chest and nipples 5 years ago but I'm sure this is more than fat. Exercise daily. 5'11'' and just at 200. 36 waist. In good shape otherwise. Can't stand the movement when running and basically the feeling of weight in my chest area. I've set appointments with several doctors to finally have something done. Do you think I'm on the right track? Thanks for your input guys.

http://s1133.photobucket.com/albums/m588/baltoboy2/?action=view&current=front.jpg

http://s1133.photobucket.com/albums/m588/baltoboy2/?action=view&current=both.jpg

http://s1133.photobucket.com/albums/m588/baltoboy2/?action=view&current=side2.jpg

I am now in my 50's and have had gyno since Jr. High. Was teased constantly about having bigger breasts than some of the girls. It's been a cause of shame and embarrassment for years. I've had them lipo'd but they are as big as ever.  Was even a finalist in the "Body for Life" competition in '06. but, as you all know, the breast tissue remained.

Haven't posted a pic, but I can literally grab a fistful of tissue/fat on each breast and have that egg sized bulge at the armpit.

I've seen two surgeons so far and I'll see one tomorrow and one next week. Trying to weigh my options and opinions before moving ahead.

HERE'S MY QUESTION.  One Doctor went through three different options including the donut procedure, a laser lipo procedure and finally a Mastectomy, much like a woman would have...complete removal of the nipple with reattachment once all the tissue is removed.  He said part of his recommendation of that was due to my age and excess skin that would be left behind. I would have two half circle scars, one under each breast.

Has anyone out there done that?  Is that a safe option for men?  He said it was the one sure way to end up flat.
He is reputable and has a great medical facility.

Thanks for any input. I appreciate this site. Seeing all the photos of varying levels helped me solidify my decision to move forward.

Your pictures do not show how much, if any, loose skin is involved. That is a major amount of probably fat, gland, scar tissue, and possibly skin still creating a contour problem on that chest. Standard Loose Skin and Gynecomastia Pictures use gravity to show if there is extra skin that may need to be considered.  The additional flexing view on After Gynecomastia Surgery Documentation can show the scar elements and residual gland and fat contour issues.

Not all surgeons have the same skills. Some leave too much behind. However, if surgery was done with a global fat problem, then there are limitations as to what the surgery will accomplish. There is just insufficient details with what has been provided here for a valid discussion of what course to take. That is better done during an evaluation by an experienced gynecomastia surgeon. Preferably by someone who can demonstrate their expertise with revision surgery and possibly with loose skin sculpture if indicated.

Checking what a doctor offers on the web can help minimize multiple blind doctor visits. I have posted how to pick a gynecomastia surgeon here:

http://www.gynecomastia.org/smf/index.php?topic=16474.0

Good luck on your continued exploration of your options!

Hope this helps,

Michael Bermant, MD
Learn More About Revision Gynecomastia and Chest Surgery